Abstract:
STUDY DESIGN:Case series and review of literature. OBJECTIVE:To report three cases of vascular injury during posterior lumbar disc surgery, two of these occurred during open discectomy, and one during an endoscopic surgery. Aim is to highlight importance of early diagnosis and prompt steps taken to prevent morbidity and mortality. SUMMARY OF BACKGROUND DATA:Vascular injury during lumbar discectomy is rare injury. Also no case has been reported so far occurring during an endoscopic discectomy. METHODS:Three patients were treated for lumbar intervertebral disc prolapse, two had undergone open posterior discectomy while the third patient underwent endoscopic discectomy and all of them were diagnosed to have suffered an abdominal vascular injury. RESULTS:In two cases pseudo-aneurysm was found while third case was diagnosed as an arterio-venous fistula. All the three cases were managed with endovascular stenting and followed for a minimum period of 2 years. No further complications were detected. CONCLUSION:Vascular injury during a disc surgery is difficult to diagnose due to the rarity of occurrence and subtle signs which need to be recognized to start early management. LEVEL OF EVIDENCE:5.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Goel A,Kumar P,Bahadur Rdoi
10.1097/BRS.0000000000003100subject
Has Abstractpub_date
2019-10-15 00:00:00pages
E1227-E1230issue
20eissn
0362-2436issn
1528-1159pii
00007632-201910150-00018journal_volume
44pub_type
杂志文章,评审相关文献
SPINE文献大全abstract:STUDY DESIGN:A retrospective single-center study. OBJECTIVE:This study sought to clarify the risk factors and to evaluate the surgical outcome in patients with rapidly progressive cervical spondylotic myelopathy (rp-CSM). SUMMARY OF BACKGROUND DATA:CSM is a degenerative spine disease presenting a slow development of ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002969
更新日期:2019-06-15 00:00:00
abstract::A case of "ganglion" cyst was found to originate from the L3 lumbar posterior longitudinal ligament at the pedicular level. The patient had moderate lumbar degenerative scoliosis. The cyst had no connection with the intervertebral disc, dural sac, facet joint or nerve root. Instead of mucous or myxoid material, it con...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/00007632-199312000-00026
更新日期:1993-12-01 00:00:00
abstract:STUDY DESIGN:A case of cervical myelopathy with a severe nape and upper arm pain caused by anomalous bilateral vertebral arteries is reported. OBJECTIVE:To report over six and a half years results of a microsurgical decompression for high cervical myelopathy with a severe pain of nape and upper arm resulting from spin...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31817c6c17
更新日期:2008-08-01 00:00:00
abstract:STUDY DESIGN:New babies with neurologic deficits resulting from intraspinal extension of congenital neuroblastoma is very unusual. Two patients with congenital dumbbell neuroblastoma with paraplegia are described, and 16 other cases are reviewed. OBJECTIVE:To study the clinical features and prognosis of congenital dum...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/00007632-199506000-00019
更新日期:1995-06-01 00:00:00
abstract:STUDY DESIGN:Observational cohort study. OBJECTIVE:To determine the accuracy of the Revised Cardiac Risk Index (RCRI) in predicting major adverse cardiac events in patients undergoing spine fusion surgery of 3 levels or more. SUMMARY OF BACKGROUND DATA:Preoperative cardiac testing is extensively guided by the RCRI, w...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000405
更新日期:2014-08-01 00:00:00
abstract::Waddell et al in 1980 developed a standardized assessment of behavioral responses to examination. The signs were associated with other clinical measures of illness behavior and distress, and are not simply a feature of medicolegal presentations. Despite clear caveats about the interpretation of the signs, they have be...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199811010-00025
更新日期:1998-11-01 00:00:00
abstract:STUDY DESIGN:A review of controlled trials. OBJECTIVES:To determine which interventions are used to prevent back and neck pain problems as well as what the evidence is for their utility. SUMMARY OF BACKGROUND DATA:Given the difficulty in successfully treating long-term back and neck pain problems, there has been a ca...
journal_title:Spine
pub_type: 临床试验,杂志文章,评审
doi:10.1097/00007632-200104010-00019
更新日期:2001-04-01 00:00:00
abstract:STUDY DESIGN:Disc tissue obtained from patients undergoing surgery for scoliosis, lumbar radiculopathy, and discogenic pain was cultured under basal and lipopolysaccharide-stimulated conditions and the medium analyzed for production of a range of pro-inflammatory mediators. OBJECTIVES:This study was conducted to confi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000103341.45133.F3
更新日期:2003-12-15 00:00:00
abstract:STUDY DESIGN:A study on the efficacy of recombinant human bone morphogenetic protein 2 (rhBMP-2) in a nonhuman primate anterior interbody fusion model. OBJECTIVES:To investigate the efficacy of rhBMP-2 with an absorbable collagen sponge carrier to promote spinal fusion in a nonhuman primate anterior interbody fusion m...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199904010-00004
更新日期:1999-04-01 00:00:00
abstract:STUDY DESIGN:A case report of traumatic atlantooccipital dislocation (AOD) managed by intraarticular-posterior fusion from a posterior approach at the C0-C1 level with preservation of C1-C2 motion. OBJECTIVE:To present a new technique for atlantooccipital fusion with long-term follow-up. SUMMARY OF BACKGROUND DATA:Th...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181c91fa1
更新日期:2010-05-01 00:00:00
abstract::Disc herniation into the intervertebral foramen (IVF) or osteophytic outgrowths from the margins of the apophyseal joints that project into the IVF may compress the neural structures, but in this cadaveric study of 160 lumbar foramens (age range, 35-91 years), the authors have found that they were much more commonly a...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198906000-00002
更新日期:1989-06-01 00:00:00
abstract:STUDY DESIGN:Radiographic review. OBJECTIVE:To determine whether dense cancellous allografts (DCAs) are associated with graft resorption when used in anterior cervical discectomy and fusion (ACDF). SUMMARY OF BACKGROUND DATA:The ideal graft material for ACDF remains to be identified. Purported advantages of DCA inclu...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31815cd464
更新日期:2007-12-15 00:00:00
abstract:STUDY DESIGN:A survey of pain intensity and psychological symptoms in patients with chronic neck pain after whiplash injury. OBJECTIVES:To describe the pain and psychological profiles of patients with chronic whiplash. SUMMARY OF BACKGROUND DATA:Reports in the literature mention a constellation of symptoms associated...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199604010-00006
更新日期:1996-04-01 00:00:00
abstract::The influences of age, sex, disc level, and degree of degenration on the mechanical behavior of 42 fresh cadaver lumbar motion segments are reported. The motions and intradiscal pressure changes that result from the application of flexion, extension, lateral bending, and torsional moments; compression; and anterior, p...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-197901000-00001
更新日期:1979-01-01 00:00:00
abstract:STUDY DESIGN:Report of 2 operated cousin cases of the multiple spinal extradural arachnoid cysts. OBJECTIVE:To report the operative findings of cousin cases of the multiple spinal extradural arachnoid cysts and analyze a genetic etiology with the pedigree of all family members. SUMMARY OF BACKGROUND DATA:Spinal extra...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31814b8488
更新日期:2007-09-15 00:00:00
abstract:STUDY DESIGN:In vitro study to characterize the flexibility of a new total posterior-element system when instrumented to L4-L5 segments. OBJECTIVE:The goal of this in vitro study was to investigate whether an optimized version of the TOPS implant (Impliant Ltd., Ramat Poleg, Israel) is capable to restore the physiolog...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000245872.45554.c0
更新日期:2006-11-15 00:00:00
abstract:STUDY DESIGN:A retrospective review. OBJECTIVE:To report the results of an alternative technique using a minimally invasive fusionless surgery. The originality is based on the progressive correction of the deformities with proximal and distal fixation and on the reliability of the pelvic fixation using iliosacral scre...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002588
更新日期:2018-08-01 00:00:00
abstract:STUDY DESIGN:Cadaveric in vitro computed tomography (CT) imaging study. OBJECTIVE:To examine minimum pedicle diameter from transverse and coronal CT reconstructions of thoracolumbar spine specimens and compare their degree of disparity, if any. Pedicle angulation in coronal and transverse planes was measured and their...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001628
更新日期:2016-11-15 00:00:00
abstract:STUDY DESIGN:A cross-sectional telephone survey was conducted using a two-stage randomization process. OBJECTIVES:The objectives of this paper were to investigate the prevalence of neck pain and their consequences and risk groups in the Hong Kong population. SUMMARY OF BACKGROUND DATA:There has been a lack of recent ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000225999.02326.ad
更新日期:2006-07-15 00:00:00
abstract::Giovanni Alfonso Borelli is often described as the father of biomechanics. He was born in Naples in 1608. His De Motu Animalium, published in 1680, extended to biology the rigorous analytical methods developed by Galileo in the field of mechanics. Borelli calculated the forces required for equilibrium in various joint...
journal_title:Spine
pub_type: 传,历史文章,杂志文章
doi:10.1097/01.brs.0000182314.49515.d8
更新日期:2005-10-15 00:00:00
abstract:STUDY DESIGN:A case series of spinal arthrodesis performed with vascularized fibular grafts is presented. OBJECTIVES:The use of vascularized fibular grafts to obtain anterior spinal fusion in patients with complex spinal disorders and poor fusion environments is described. SUMMARY OF BACKGROUND DATA:The fusion succes...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200110010-00029
更新日期:2001-10-01 00:00:00
abstract::Segmental spinal instrumentation with sublaminar fixation is widely used but a variety of materials and techniques are being employed for both scoliosis and other spinal surgery. This study addresses the question as to which is best. Both the materials and the methods of securing them were studied. The materials teste...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:1989-06-01 00:00:00
abstract:STUDY DESIGN:Evaluation of the psychometric properties of the Neck Pain and Disability Scale (NPDS). OBJECTIVE:Translating, culturally adapting, and validating the Italian version of the NPDS-I. SUMMARY OF BACKGROUND DATA:Great importance is devoted to validated and comprehensive outcome measures to improve intervent...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318175c2b0
更新日期:2008-06-01 00:00:00
abstract:STUDY DESIGN:Multiple center study to evaluate cerebrospinal fluid (CSF) concentrations of nitric oxide metabolites [NOx] in relation to neurologic severity and prognosis in spinal cord injury (SCI). OBJECTIVE:To examine whether CSF [NOx] correlates with neurologic severity and recovery in SCI. SUMMARY OF BACKGROUND ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181abda1d
更新日期:2009-08-15 00:00:00
abstract::Correct dermatome identification is essential to reduce nomenclature and surgical errors, to improve neurologic correlation, and to produce accurate statistics regarding low-back problems. The phylogenetic category of the spine must be known and junctional transitional vertebrae within the column properly identified a...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198005000-00003
更新日期:1980-05-01 00:00:00
abstract:STUDY DESIGN:Case report. OBJECTIVES:To report primary angiosarcoma of the T8 vertebra, which was successfully managed with en bloc spondylectomy and postoperative chemotherapy. SUMMARY OF BACKGROUND DATA:To the best of our knowledge, the present case is the first documented example of successful treatment of angiosa...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:2004-07-01 00:00:00
abstract:STUDY DESIGN:Immunohistochemical study of tumor necrosis factor alpha expression in autopsy and surgical specimens of human lumbar intervertebral discs. OBJECTIVES:To investigate the occurrence and localization of tumor necrosis factor alpha in intervertebral disc tissue and to correlate its expression with age and th...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000149186.63457.20
更新日期:2005-01-01 00:00:00
abstract:STUDY DESIGN:A prospective single blinded placebo controlled study was conducted. OBJECTIVE:To assess the effectiveness of spinal manipulation therapy (SMT) for the management of chronic nonspecific low back pain (LBP) and to determine the effectiveness of maintenance SMT in long-term reduction of pain and disability ...
journal_title:Spine
pub_type: 杂志文章,随机对照试验
doi:10.1097/BRS.0b013e3181f5dfe0
更新日期:2011-08-15 00:00:00
abstract:STUDY DESIGN:A retrospective study of 1,090 patients undergoing corrective spinal deformity surgery for scoliosis (n = 920), kyphosis (n = 77), or a combination of the two (n = 93) at one institution. OBJECTIVES:To ascertain the etiologies and incidence of neurologic deficits occurring at the time of surgery. SUMMARY...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199802010-00008
更新日期:1998-02-01 00:00:00
abstract::The role of thermography for diagnosing lumbar radiculopathy was evaluated by literature review and meta-analysis. From 81 relevant citations, 28 studies could be analyzed for diagnostic-accuracy data (sensitivity and specificity) and method. Diagnostic-accuracy data varied significantly between studies; therefore mea...
journal_title:Spine
pub_type: 杂志文章,meta分析
doi:10.1097/00007632-199106000-00005
更新日期:1991-06-01 00:00:00